NPIMap

Organization Active NPI

E. Gaylon McCollough MD, LLC

  • Clinic/Center
  • Gulf Shores, AL
National Provider Identifier
1043439128
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5584 Issued in AL
Legal business name
E. GAYLON MCCOLLOUGH MD, LLC
Practice address
350 Cypress Bend Dr
Gulf Shores, AL 36542-2773
Phone
(251) 967-7673
Fax
(251) 967-7647
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Louis O Priester III
Title
Chief Operating Officer
Phone
(251) 967-7673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5584 AL Primary

Addresses

Primary practice location

350 Cypress Bend Dr
Gulf Shores, AL 36542-2773

Mailing address

PO Box 4249
Gulf Shores, AL 36547-4249
Phone (251) 967-7673

Other names 1

  • McCollough Plastic Surgery Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1004060McCollough Plastic Surgery Clinic350 Cypress Bend Drive, Gulf Shores, AL 36542Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
E Gaylon McCollough MD LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1043439128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4249",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365474249",
            "telephone_number": "251-967-7673",
            "fax_number": "251-967-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CYPRESS BEND DR",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422773",
            "telephone_number": "251-967-7673",
            "fax_number": "251-967-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. GAYLON MCCOLLOUGH MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "PRIESTER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "251-967-7673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "5584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCollough Plastic Surgery Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.